Palavras-chave
Como Citar
Resumo
Background: Patellofemoral osteoarthritis is detected in a large number of patients and is responsible for multiple symptoms and signs, among which pain predominates, its treatment is varied and ranges from conservative to surgical, in which the arthroscopic route stands out.
Objective: Show the behavior of a group of patients with patellofemoral osteoarthritis.
Material and methods: A descriptive observational study was carried out in 96 patients with the clinical and radiographic diagnosis of patellofemoral osteoarthritis from January 2015 to April 2017. The non-probabilistic and intentional sample consisted of 77 patients who met the selection criteria (inclusion and exclusion).
Results: The average age was 52.2 years, the female sex, the right kneecap predominated and the cause that was most observed was primary. Pain during rest is one of its main manifestations. There is a correlation between the Iwano T and Outerbridge RE classification. In general, there are other affected compartments of the joint, the isolated presence is very rare, and arthroscopic treatment is very useful.
Conclusions: Patellofemoral osteoarthritis is frequent, it generates symptoms and signs in a large group of patients. The presence of this condition is usually associated with other joint injuries, and patients can be treated arthroscopically.
Referências
Arendt EA, Berruto M, Filardo G, Ronga M, Zaffagnini S, Farr J, et al: Early osteoarthritis of the patellofemoral joint. Knee Surg Sports Traumatol Arthrosc. 2016; 24(6): 1836-44. [ Links ]
Cho HJ, Gn KK, Kang JY, Suh KT, Kim TK: Epidemiological characteristics of patellofemoral osteoarthritis in elderly Koreans and its symptomatic contribution in knee osteoarthritis. Knee. 2016; 23(1): 29-34. [ Links ]
Kobayashi S, Pappas E, Fransen M, Refshauge K, Simic M: The prevalence of patellofemoral osteoarthritis: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2016; 24(10): 1697-707. [ Links ]
Álvarez LA, García LY, López LG, López LM: Artrosis patelofemoral. Rev Cubana Ortop Traumatol. 2013; 27(2): 230-40. [ Links ]
Felson DT: Challenges of identifying and treating patellofemoral osteoarthritis. Br J Sports Med. 2016; 50(14): 832-3. [ Links ]
Rosenthal PB: Knee osteoarthritis. En: Scott WN. Surgery of the Knee. 5 th ed. Philadelphia: Elsevier; 2012. p. 718-22. [ Links ]
Bert TM, Bert JM: Arthroscopic approach to knee osteoarthritis. En: Sgaglione NA, Lubowitz JH, Provencher MT. The Knee: AANA Advanced Arthroscopic Surgical Techniques. Thorofare: Slack Incorporated; 2016. 189-96. [ Links ]
Farrokhi S, Chen YF, Piva SR, Fitzgerald GK, Jeong JH, Kwoh CK: The influence of knee pain location on symptoms, functional status, and knee-related quality of life in older adults with chronic knee pain: data from the osteoarthritis initiative. Clin J Pain. 2016; 32(6): 463-70. [ Links ]
Heng HY, Bin Abd Razak HR, Mitra AK: Radiographic grading of the patellofemoral joint is more accurate in skyline compared to lateral views. Ann Transl Med. 2015; 3(18): 263. [ Links ]
Van der Heijden RA, de Kanter JL, Bierma-Zeinstra SM, Verhaar JA, van Veldhoven PL, Krestin GP, et al: Structural abnormalities on magnetic resonance imaging in patients with patellofemoral pain: a cross-sectional case-control study. Am J Sports Med. 2016; 44(9): 2339-46. [ Links ]
Dejour D, Vasconcelos T W, Tavernier T: Patellofemoral osteoarthritis. En: Bonnin M, Chambat P. Osteoarthritis of the knee: surgical treatment. London: Springer; 2008. 15-33. [ Links ]
Yassa R, Khalfaoui MY, Davies AP: Are “Patellofemoral symptoms” truly related to the patellofemoral joint? Knee Surg Relat Res. 2016; 28(1): 68-74. [ Links ]
Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, et al: 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016; 50(14): 839-43. [ Links ]
Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al: Guidelines for the medical management of osteoarthritis. Part II: osteoarthritis of the knee. Arthritis Rheum. 1995; 38(11): 1541-6. [ Links ]
Iwano T, Kurosawa H, Tokuyama H: Roentgenographic and clinical findings of patellofemoral osteoarthrosis with special reference to its relationship to femorotibial osteoarthrosis and etiologic factors. Clin Orthop Relat Res. 1990; 252: 190-7. [ Links ]
Outerbridge RE: The etiology of chondromalacia patellae. J Bone Joint Surg Br. 1961; 43: 752-7. [ Links ]
Barragán-Hervella R, Montiel-Jarquín A, Alvarado-Ortega I, Corona-Juárez E, Lima-Ramírez P, Vázquez-Rodríguez C, et al: Adelantamiento rotuliano tipo Bandi versus limpieza articular artroscópica para el manejo de la artrosis patelofemoral. Seguimiento de un año. Acta Ortop Mexicana. 2015; 29(5): 261-5. [ Links ]
Arteaga-Solís JR, Negrete-Corona J, Chávez-Hinojosa E, Díaz-Martínez B: Efectividad de dos medicamentos intrarticulares en pacientes con artrosis de rodilla: colágeno polimerizado versus hylano gf 20. Acta Ortop Mexicana. 2014; 28(3): 164-7. [ Links ]
Carlson VR, Boden BP, Shen A, Jackson JN, Yao L, Sheehan FT: The tibial tubercle-trochlear groove distance is greater in patients with patellofemoral pain: implications for the origin of pain and clinical interventions. Am J Sports Med. 2017; 45(5): 1110-16. [ Links ]
Drew BT, Redmond AC, Smith TO, Penny F, Conaghan PG: Which patellofemoral joint imaging features are associated with patellofemoral pain? Systematic review and meta-analysis. Osteoarthritis Cartilage. 2016; 24(2): 224-36. [ Links ]
Wyndow N, Collins N, Vicenzino B, Tucker K, Crossley K: Is there a biomechanical link between patellofemoral pain and osteoarthritis? a narrative review. Sports Med. 2016; 46(12): 1797-1808. [ Links ]
Parkes MJ, Callaghan MJ, O’Neill TW, Forsythe LM, Lunt M, Felson DT: Sensitivity to change of patient-preference measures for pain in patients with knee osteoarthritis: data from two trials. Arthritis Care Res (Hoboken). 2016; 68(9): 1224-31. [ Links ]
Maricar N, Callaghan MJ, Parkes MJ, Felson DT, O’Neill TW: Interobserver and intraobserver reliability of clinical assessments in knee osteoarthritis. J Rheumatol. 2016; 43(12): 2171-8. [ Links ]
Sanders TL, Pareek A, Johnson NR, Stuart MJ, Dahm DL, Krych AJ: Patellofemoral arthritis after lateral patellar dislocation: a matched population-based analysis. Am J Sports Med. 2017; 45(5): 1012-7. [ Links ]
Álvarez-López A: Tratamiento artroscópico en pacientes con gonartrosis primaria. [Tesis doctoral]. Camagüey: Universidad de Ciencia Médicas de Camagüey; 2013. [ Links ]
Frioui-Mahmoudi S, Toulgui E, Ben Jeddou K, Gaddour M, Jemni S, Khachnaoui F: Quality of life for patient with knee osteoarthritis. Ann Phys Rehabil Med. 2016; 59S: e158-9. [ Links ]
Iijima H, Fukutani N, Isho T, Yamamoto Y, Hiraoka M, Miyanobu K, et al: Changes in clinical symptoms and functional disability in patients with coexisting patellofemoral and tibiofemoral osteoarthritis: a 1-year prospective cohort study. BMC Musculoskelet Disord. 2017; 18(1): 126. [ Links ]
Glaviano NR, Kew M, Hart JM, Saliba S: Demographic and epidemiological trends in patellofemoral pain. Int J Sports Phys Ther. 2015; 10(3): 281-90. [ Links ]
Fosco M, Dagher E: Proposal of a therapeutic protocol for selected patients with patellofemoral knee osteoarthritis: arthroscopic lateral retinacular release followed by viscosupplementation. Musculoskelet Surg. 2016; 100(3): 171-8. [ Links ]
Kanazawa H, Maruyama Y, Shitoto K, Yokoyama M, Kaneko K. Survival and clinical results of a modified “crosse de hockey” procedure for chronic isolated patellofemoral joint osteoarthritis: mid-term follow-up. J Orthop Traumatol. 2017; 18(1): 23-30. [ Links ]
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2020 Victor Waldez Karina Hernandez Peña , Juan Julio Marques Vidal